Profiles

 Jessica Storbjörk

Jessica Storbjörk

Associate professor

Visa sidan på svenska
Works at Department of Public Health Sciences
Telephone 08-16 14 68
Email jessica.storbjork@su.se
Visiting address Sveavägen 160, Sveaplan
Room 333
Postal address Institutionen för folkhälsovetenskap 106 91 Stockholm

About me

Jessica Storbjörk, Associate Professor of sociology and Senior Lecturer at the Department of Public Health Sciences, performs research into sociological aspects of alcohol, illicit drugs, and addiction with special emphasis on addiction treatment and the addiction treatment systems in Sweden as well as internationally.

Storbjörk's more recent research projects have studied citizens' rights and obligations in the welfare sector, national treatment policy, organizational changes in the Swedish addiction treatment system, international comparisons regarding treatment systems and service users, and the extent to which and how service users are involved in treatment in their own case. At the moment her main focus is on the organization and government of addiction treatment and how such factors impact on the daily practice in the social services and the health care system. The work is conducted within the frame of a study on benefits, tensions and inconsistencies following the implementation of New Public Management and other organizational tendencies and steering principles, e.g., public procurement.

Her previous research applied a client perspective and more specifically targeted service users' own experiences in studies of how people with alcohol and drug problems enter treatment, social control, compulsory care, homelessness, social marginalization/exclusion, similarities and differences between women and men in treatment, substance related mortality, treatment outcomes, and service users' reasons for changed substance use.

As concerns different expert assignments, we can mention that Storbjörk is a member of the scientific board of the National Board of Institutional Care (SiS); she is a member of the scientific advisory board of the journal Nordic Studies on Alcohol and Drugs; she acts as Assistant Field Editor of the Journal of Studies on Alcohol and Drugs; and she has participated in various working groups on addiction and gambling at the National Board of Health and Welfare. She contributed to the launch of the national research network Alcohol and Drug Research within Social Sciences (Sonad) and served as its coordinator 2010-2017. She has spent time as a guest researcher at research centers in Australia, Finland, and the USA.

Teaching

Jessica Storbjörk has taught at basic, advanced and PhD-level social science courses on alcohol, illicit drugs, and addiction; qualitative and quantitative research methods; and gender. She has taught at departments within the Faculty of Social Sciences at Stockholm University, and at Uppsala University, the Karolinska institutet, and at courses arranged by the Nordic council for Alcohol and Drug Research (NAD). She will teach at the new Department of Public Health Sciences.

Research

Ongoing research projects

Benefits, tensions and inconsistencies in the health and welfare system: The case of New Public Management in Swedish substance abuse treatment (2015-2017, Riksbankens Jubileumsfond/The Swedish Foundation for Humanities and Social Sciences). Principal investigator (PI).

The position of the service users in Swedish addiction treatment – a study of service user involvement in practice (2013-2015, Forte). PI.

Alcohol and other drug treatment funding, purchasing and workforce: empirical analyses to inform policy (2017-2019, by NHMRC Australia, PI Ritter). Associate investigator.

Previous projects

Network: Alcohol and Drug Research Network within Social Sciences (Sonad) (2004-ongoing, Forte). PI 2010-2017.

A reformed substance abuse treatment system? Actors, arguments and power (2012-2013, senior lecturer position). PI.

Rights and obligations in the welfare state: the voices of policy-makers, professional groups and socially included and excluded citizens (2010-2011, Forte). PI.

Equal problems in an equal treatment system? Similarities and differences between women and men in treatment: consumption, problems and treatment experiences (2009-2010, part study of the research program Women’s health, PI Törrönen, FAS/Forte). PI.

How, when and for whom is compulsory treatment used? (2008, the National Board of Institutional Care (SiS), PI Palm). Research scientist.

Treatment outcome among alcohol and drug users: Outcome in relation to pressures to seek treatment and level of decentralization of the treatment system (2008, SRA – the Alcohol Research Council of the Swedish Alcohol Retailing Monopoly, PI Stenius). Research scientist.

A comparative study of treatment systems, treatment interventions and long-term outcome among alcohol and drug users in Stockholm County and northern California (2007-2009, FAS/Forte, the social welfare administration of Stockholm, the County administrative board of Stockholm, and SRA), PI Stenius). Research scientist.

Evaluation of “Vårdkedjeprojektet” – an after care effort/trial in the compulsory treatment system (2005-2007, SiS, PI Stenius). Research assistant.

Guests of a voluntary organization: their networks, problems, needs and resources (2005, the Swedish National Drug Policy Coordinator, PI Room). Study director & PhD student.

ROSE-EU (Risk Opiate Addicts Study), Management of high risk opiate addicts in Europe (2002-2004, 5th Framework of the EU, multi-cite study, PI Krausz, PI for Sweden Romelsjö). Research assistant & PhD student.

TREAT-2000, Treatment Systems Research on European Addiction Treatment (2000-2003, 4th Framework of the EU, multi-cite study, PI Gastpar, PI for Sweden Room). Assistant study director & PhD student.

Women and men in Swedish alcohol and drug treatment (2000-2004, the Swedish Ministry of Social Affairs and Health, PI Room). Assistant study director & PhD student.

Publications

A selection from Stockholm University publication database
  • 2018. Jessica Storbjörk, Kerstin Stenius. Social Policy & Administration

    Given its traditions of universal welfarism and social democracy, Sweden had already scored unexpectedly high on New Public Management by the 1980s. Health and welfare services remain primarily tax‐funded, but the production of care is increasingly transferred to a competitive quasi-market. To what extent can this development be understood in terms of right‐wing governments, and to what extent in terms of other, socioeconomic and pragmatic factors? We examined this question through official statistics on providers of institutional addiction care since 1976, and through the total expenditure and purchases by local‐level municipal social services of interventions for substance users in Sweden in 1999, 2004, 2009, and 2014. We have analyzed the distribution across publicand private providers within the addiction treatment system, and whether national developments and local differences across the 290 municipalities—which bear the major treatment responsibility—can be understood in terms of local‐level political majority, population size, and local wealth. The share of purchased services has remained stable, but the treatment system shows increasing financial turnover and an increasing share of for‐profit providers among producers of purchased care, especially in outpatient treatment. While venture capital enterprises emerged as a new actor, non‐governmental organizations lost out in importance. Bourgeois government correlated with larger shares of purchasing and purchases from for‐profit providers. However, purchasing on a market dominated by for‐profit providers has also become the “newnormal”, regardless of ideology, and recent years have shown a reversed effect of left‐wing municipalities purchasing more services than right‐wing governments. Pragmatic reasons also influence local‐level purchasing.

  • 2018. Jessica Storbjörk. Drug and Alcohol Review

    Treatment providers demonstrate a quite strong support for a disease model of addiction, particularly so in the United States. However, conceptions vary and the problems may be perceived as primarily a disease, moral or social problems, or a combination of these (Barnett et al. in press). This commentary discusses the ongoing and dynamic process of defining addiction problems and notes that non-medical perspectives often appear in the shadow of and tend to oppose the disease model that stands quite inviolable – i.e., like the One Ring to rule them all by citing The Lord of the Rings. Recent changes in the Swedish Addiction treatment system, well known for its social perspective on the nature and handling of addiction problems, are highlighted to demonstrate that the world may be changing, or not. It is argued that there cannot be just one model. 

  • 2018. Jessica Storbjörk, Eva Samuelsson. Socialtjänstmarknaden, 85-115

    Kapitlet behandlar brukarinflytande inom missbruks- och beroendevården och diskuterar den potentiella konflikten mellan denna företeelse och New Public Management (NPM). Kapitlet diskuterar hur företeelser som ofta förknippas med NPM (t.ex. upphandling och ramavtal, valfrihet, prestationsbaserade ersättningssystem) inverkar på handlingsutrymme och vårdbeslut utifrån personalens och brukarnas utsagor, liksom hur klienter och patienter ser på sina möjlighetertill inflytande i en NPM-inspirerad vård.

  • 2017. Storbjörk Jessica. Addiction 112 (12), 2122-2123

    Analyses of low-risk drinking add legitimacy to moderation as an alcohol treatment goal, so increasing choice for some patient groups. Moderation also parallels a dominant model of opioid treatment, opioid maintenance treatment. 

  • 2017. Jessica Storbjörk, Joshua B. B. Garfield, Andrew Larner. Substance Use & Misuse 52 (4), 439-450

    Background: Clinical studies of alcohol and drug treatment outcomes frequently apply participant eligibility criteria (EC), which may exclude real-world treatment seekers, impairing the representativeness of studied samples. Some research exists on the impact of EC on alcohol treatment seekers. Little is known about drug treatment and country differences. Objectives: We tested and compared the degree to which commonly used EC exclude real-world treatment seekers with problem alcohol and drug use in Sweden and Australia, and compared the impact of EC on outcomes. Methods: Two large naturalistic and comparative service user samples were used. Respondents were recruited in Stockholm County (n = 1,865; data collection 2000–2002), and Victoria and Western Australia (n = 796; in 2012–2013). Follow-up interviews were conducted after 1 year. Cross-tabulations, Chi-square (χ2) tests and logistic regressions were used. Results: Percentages of the samples excluded by individual EC ranged from 5% (lack of education/literacy) to 70% (social instability) among Swedish alcohol cases and from 2% (low alcohol problem severity) to 69% (psychiatric medication) among Australian counterparts; and from 2% (age 60+ years) to 82% (social instability) among Swedish drug cases and from 1% (age 60+ years) to 67% (psychiatric medication) among Australian counterparts. Country differences and differences across substances appeared independent of country effect. Co-morbid psychiatric medication, noncompliance, poly drug use, and low education EC caused positive 1-year outcome bias; whereas female sex and old age introduced negative outcome bias. Conclusions/Importance: Commonly used EC exclude large proportions of treatment seekers. This may impair generalizability of clinical research, and the effects of many EC differ by country and drug type.

  • 2014. Jessica Storbjörk. Drug and Alcohol Review 33 (6), 604-611

    It has been acknowledged that participants in clinical trials differ from real-world service users,primarily due to the extensive use of research eligibility criteria (EC). Generalisability and outcome bias become pressing issueswhen evidence-based treatment guidelines, crystallised from outcome research, influence treatment provision.This study reportson the effects of EC on generalisability and short- and long-term outcomes among real-world treatment-seekers.

    Ten of the most commonly used EC were operationalised and applied to a large representative service user sample(n = 1125) from Stockholm County, Sweden, to determine the percentage of real-world problem alcohol users that would havebeen excluded by each EC and the extent to which EC bias the 1 and 6-year alcohol outcomes.

    Individual EC excluded between 5% and 80% of real-world service users and 96% would have been excluded by at least one EC. Most of the EC introduced a positive/upwards bias in 1- and 6-year outcomes. Most notably, the removal of the unmotivated/non-compliantservice users caused an upwards bias that would considerably boost estimates of treatment effectiveness. Other bias effects weresmaller. Six-year effects were generally higher than for 1 year.

    Outcome studies that excludecomplex and non-compliant cases are not representative of real-world service users, and thus effectiveness estimates from clinicaltrials are biased by several commonly used EC.EC should be used judiciously and be taken into account in practice guidelines.This burgeoning research area should be further developed. [Storbjörk J. Implications of enrolment eligibility criteria inalcohol treatment outcome research: Generalisability and potential bias in 1- and 6-year outcomes.

  • 2016. Jessica Storbjörk (et al.).

    Demands for service user involvement has a long history in the general health and welfare sectors in Sweden, but user involvement has been lagging behind as concerns substance abuse treatment. “The position of the service user in substance treatment: A study of user involvement in practice” therefore sought to analyze perceptions of user involvement and the extent to which alcohol and drug users in this treatment sector can influence the choice of intervention in their own case. The study included both the perspectives of the service users and their professional service providers. The relationship between user involvement, satisfaction, and outcomes were explored, as well as potential differences in perceptions and experiences between various service user groups and service providers. The study applied a qualitative research approach by interviewing 36 service users and 23 service providers (pairs of service users and providers), and following them up three months later.

    The primary goal of the present technical report was to provide a quantitative exploration of research participant characteristics, user involvement and treatment satisfaction by different groups, including outcomes. The report uses tabular formats as well as several summaries of interview accounts. The report also outlines our theoretical point of departure and detailed information concerning the research methods and methodological considerations.

    [A Swedish summary is available in the report]

  • 2016. Harald Klingemann, Storbjörk Jessica. The SAGE Handbook of Drug & Alcohol Studies, 260-286

    Following some introductory notes on addiction treatment management as a specific case of societies’ response to deviant behaviours and social problems, an overview of the theoretical classifications and dimensions of addiction treatment systems is presented. The anti-thesis to these ideal-type system concepts is represented by the market New Public Management model oriented towards outcomes, regardless of the nature and organizational features of addiction interventions. As complementary to these general theoretical orientations, this serves as a review of specific issues concerning ‘a combined and integrated approach versus a specialized and segregated approach’, ‘the quest for the best treatment modalities’, ‘empirical and ethical aspects of coercion in treatment’ and ‘the relevance of user needs and orientation’. The empirical part begins by highlighting the ‘expert survey‘, ‘case study‘ and dynamic diffusion‘  approaches as treatment mapping strategies and informs on some key results, e.g. from the WHO Atlas –SU survey and the International Studies in the Development of Alcohol and Drug Treatment Systems. Results from an expert survey from fourteen countries conducted in 2014 illustrate the role of general political changes, efforts to control treatment systems, integration dynamics, the treatment gap and changing outcome criteria with concrete current examples. The conclusions point to the relative importance of professional addiction interventions drawing upon self-change research and the role of alternative lay help and outline factors in impeding system changes.

  • 2012. Jessica Storbjörk.

    Antologi.

    Hur kan vi förstå alkoholens och drogernas roll i samhället? Hur definieras problemen, hur hanteras de och vilka konsekvenser får detta? Studier kring dessa frågor ger kunskap om moraliska och politiska dilemman, maktförhållanden, strukturer och förändringsprocesser. Frågorna öppnar upp för en diskussion kring gränsdragningar och spänningar i samhället. Boken har en samhällsvetenskaplig utgångspunkt och bidrar till ett kritiskt och reflekterande tänkande kring rusmedelsfrågan, en fråga som är alltför komplex för att endast kläs i medicinska termer, vilket ofta skapar en snäv problembild. Antologin behandlar bl.a. politik, sociala konstruktioner, genus, vård och välfärd. Den ger högskolestuderande en god ingång till och överblick över ämnet. Den riktar sig också till andra intressenter såsom yrkesverksamma inom välfärdssektorn, politiker, tjänstemän, journalister, föreningsaktiva, debattörer och den samhällsintresserade medborgaren.

    Tretton forskare vid Centrum för socialvetenskaplig alkohol- och drogforskning (SoRAD), Stockholms universitet, medverkar: Maria Abrahamson, Jan Blomqvist, Jenny Cisneros Örnberg, Hanna Enefalk, Evy Gunnarsson, Nina-Katri Gustafsson, Karin Heimdahl, Mona Livholts, Therese Reitan, Filip Roumeliotis, Jessica Storbjörk, Johan Svensson och Jukka Törrönen. Författarna har sin hemvist inom sociologi, socialt arbete, statsvetenskap, historia, psykologi och folkhälsovetenskap.

    Se http://www.suforlag.se/1100/1100.asp?id=4112

Show all publications by Jessica Storbjörk at Stockholm University

Last updated: September 4, 2018

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